Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh, India.
Renal Transplant Surgery, Post Graduate Institute of Medical Education & Research, Chandigarh, India.
Vasc Endovascular Surg. 2021 Aug;55(6):651-653. doi: 10.1177/15385744211002040. Epub 2021 Mar 18.
Anastomotic site pseudoaneurysm following renal transplantation is a rare vascular complication. Its etiology include defective suture techniques and infections. The clinical presentation includes allograft dysfunction, local mass effect, exsanguination, and rupture. Open surgical repair is associated with significant morbidity and allograft dysfunction. Endovascular stent-graft can be a less invasive, alternative approach. We describe a case of large pseudoaneurysm arising from the internal iliac artery in a post-renal transplant patient. It was successfully treated with the stent-graft. The externally compressed right common iliac vein was also treated with a self-expanding non-graft stent. Thus, endovascular approach can be an effective alternative to open repair for post-renal transplant iliac artery pseudoaneurysm.
肾移植后吻合口假性动脉瘤是一种罕见的血管并发症。其病因包括缝合技术缺陷和感染。临床表现包括移植物功能障碍、局部肿块效应、出血和破裂。开放性手术修复与显著的发病率和移植物功能障碍相关。血管内支架移植物是一种微创、替代的方法。我们描述了一例肾移植后患者的髂内动脉大假性动脉瘤。它成功地用支架移植物治疗。外部受压的右髂总静脉也用自扩张非移植支架治疗。因此，血管内方法可以是肾移植后髂动脉假性动脉瘤开放修复的有效替代方法。
